Anemia among 6 - 59 months children in a rural area of Bareilly district: a cross sectional study

Dharmendra Gupta, Saurabh Mishra, Meenakshi Singh, Sanjeev Sharma, Ajay Agarwal, Sneha Mittal


Background: Anemia is a global health problem affecting mostly in developing countries.  Iron deficiency anemia is a significant health problem and especially in developing countries. It’s the most neglected micronutrient deficiency disorder among under-five children. The objective of the study was to assess the prevalence and determinants of anemia among under-five children and to suggest suitable remediable measures to prevent and control of anemia.

Method: This is a cross-sectional study. Household survey carried out in twelve villages in a rural practice area Dhaura, Bareilly. A total of 396 children were contacted for obtaining blood samples by taking 33 children from each village. Blood samples were taken from all children between the 6th month to 59 months of age using simple random sampling. After the collection, data will be analyzed using the SPSS software version 20.

Result: A total of 47.5% of the children were found to have anemia. Among them 25.5% had mild, 63.3% had moderate and 11.2% had severe anemia. The majority of them were male 269 (67.9%). The mean age of participating children was 17.351±7.785 months. 48.2% of anemic children were low birth weight.

Conclusion: High prevalence could be due to deficiency in iron nutrition among under-five children associated with poor food availability, due to lack of nutritional education and other sociodemographic conditions, child’s age and worse household conditions also contributed to the prevalence of anemia.


Anemia, Cross-sectional study, Malnutrition, Prevalence

Full Text:



World Health Organization. Iron deficiency anemia assessment, prevention, and control. A guide for program managers. Geneva; WHO; 2001.

Tympa-Psirropoulou E, Vagenas C, Psirropoulos D, Dafni O, Matala A, Skopouli F. Nutritional risk factors for iron-deficiency anaemia in children 12–24 months old in the area of Thessalia in Greece. Int J Food Sci Nutr. 2005;56(1):1-2.

Emodi I. The Anemias. In: Azubuike JC, Nkangineme KE, editors. Pediatrics and child health in a tropical region 2nd ed Owerri, Nigeria: African educational service; 2007: 355-363.

Yip, S, Lynch. UNICEF Headquarters Technical Workshop 7-9th. 1998.

The Anthropometric status of school children in five country in the parterner ship for child development. Proc Nutr Soc. 1998;57:149-58.

Levin H, Pollitt E, Gallaway R, McGuire J. Micronutrient deficiency disorders. In: Jamison D, Mosley H, Mesham A, Bobadilla JL, eds. Disease Control Priorities in developing Countries. New York: Oxford University Press; 1993.

National family Health Survey, International institute of population sciences, Mumbai, India: NFHS-4, UP. Key indicators;2015-2016;4.

World Health Organization (WHO). Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Vitamin and mineral nutrition information system. Geneva: WHO; 2011.

NBS, MACRO. Tanzania Demographic and Health Survey. Preliminary Findings. DHS Dar es Salaam: National Bureau of Statistics, Dar es Salaam; Tanzania & Macro: 2015.

Gao W, Yan H, Duolao Wang SD, Pei L. Severity of anemia among children under 36 months old in rural western China. PloS one. 2013;8(4).

Zhao A, Zhang Y, Peng Y, Li J, Yang T, Liu Z, et al. Prevalence of anemia and its risk factors among children 6-36 months old in Burma. Am J Trop Med Hyg. 2012;87(2):306-11.

Ngnie-Teta I, Receveur O, Kuate-Defo B. Risk factors for moderate to severe anemia among children in Benin and Mali: insights from a multilevel analysis. Food Nutrit bulletin. 2007;28(1):76-89.

Stevens GA, Finucane MM, De-Regil LM, et al. Global, regional, and national trends in haemoglobin concentration and prevalence of total and severe anaemia in children and pregnant and non-pregnant women for 1995–2011: a systematic analysis of population-representative data. Lancet Global Health. 2013;1(1):16-25.

Mehrotra SK, Mathur JS, Maheswari BB. Epidemiological aspects of nutritional anemia in children below five years. Indian J Pediatr. 1976;43:132-5.

World Health Organization. Iron-deficiency anaemia: Assessment, prevention and control: A guide for program managers. Geneva: WHO / UNICEF; 2001.